Individual
MS. SARA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
19871 ALBANY AVE, SOUTHFIELD, MI 48075-3982
(313) 622-4167
(313) 893-0064
Mailing address
19871 ALBANY AVE, SOUTHFIELD, MI 48075-3982
(313) 622-4167
(313) 893-0064
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3434247
—
MI
Enumeration date
08/26/2008
Last updated
08/26/2008
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